FEDERAL NURSING HOME
ADMINISTRATOR EXAM
250+ (2026 A+ Graded) Exam-Style Questions | Verified Solutions |
Complete Answer Key
100% Guarantee Pass
📋 DOCUMENT OVERVIEW 259 Qs
This "Federal Nursing Home Administrator Exam" document provides a comprehensive review of nursing
home administration concepts, specifically covering topics such as OBRA regulations, resident rights,
occupancy calculations, accounting practices, and emergency procedures. The document features 259
questions with correct answers and detailed explanations, allowing users to study, review, and
understand the underlying concepts. It serves as a valuable resource for exam preparation , enabling
users to reinforce their knowledge and prepare for the exam.
✓ Verified Answers ✓ Exam Ready ✓ Study Guide
Trusted by thousands of students and professionals worldwide
EXAM QUESTIONS
QUESTION 1
1) OBRA asserts some separate committees can be folded into the quality improvement/assurance
committee. Safety, Pharmacy and which committee below can be added into QA/QI committee?
CORRECT ANSWER
Infection Control
RATIONALE: Infection Control is a key component of quality improvement/assurance in healthcare settings, as it directly
impacts patient safety and outcomes, making it a logical fit to be merged with the QA/QI committee. OBRA's allowance for
folding separate committees into QA/QI reflects the interconnected nature of healthcare quality and safety, where Infection
Control plays a crucial role in preventing adverse events and promoting a culture of safety.
Trusted by thousands of students and professionals worldwide Page 1 of 76
, QUESTION 2
2) Nursing homes are responsible for obtaining and providing dental care for residents. Who usually pays
for dental services?
CORRECT ANSWER
The resident or a family member
RATIONALE: The correct answer is "The resident or a family member" because in the context of nursing homes, residents
are typically private payers or have private insurance that covers their dental services. This means that the financial
responsibility for dental care often falls on the individual resident or their family members, rather than the nursing home
itself.
QUESTION 3
3) A facility is not allowed to charge a resident who is Medicaid and Medicare eligible except for:
CORRECT ANSWER
Co-pays
RATIONALE: A facility is not allowed to charge a resident who is Medicaid and Medicare eligible except for co-pays because
co-pays are limited amounts of money that the resident must pay directly for specific services, and the facility must follow
the guidelines set by Medicaid and Medicare regarding allowable co-pays. This ensures that the facility does not charge
excessive fees and that the resident is not financially burdened by the costs of care.
QUESTION 4
4) You calculate the average percent of occupancy by:
CORRECT ANSWER
Dividing the total census (occupied bed days) by the total number of days, then multiply by 100
RATIONALE: This method calculates the average percent of occupancy by first determining the average number of
occupied bed days per day, which then allows for the percentage to be accurately calculated as a proportion of the total
days. By dividing the total occupied bed days by the total days, the average daily occupancy rate is obtained, and
multiplying by 100 converts it to a percentage, providing a clear representation of the hotel's capacity usage.
Trusted by thousands of students and professionals worldwide Page 2 of 76
, QUESTION 5
5) Resident's rights should be explained to the resident and or family member:
CORRECT ANSWER
Prior to admission
RATIONALE: This question focuses on the importance of explaining resident's rights prior to admission, ensuring that the
individual has a clear understanding of their rights and responsibilities from the onset of their stay, thereby establishing a
solid foundation for a positive and informed care experience. By explaining resident's rights prior to admission, facilities can
empower residents to make informed decisions, promote autonomy, and foster a sense of trust and respect between the
resident and care providers.
QUESTION 6
6) In case of an emergency, when no attending or back up physician is available, the decision as to who
will attend to the resident is to be made by the:
CORRECT ANSWER
Administrator
RATIONALE: In a medical emergency, the attending physician or backup physician is responsible for overseeing patient
care. In their absence, the "Administrator" is the most logical choice to make critical decisions, as they are the person in
charge of the hospital or facility and have the authority to make emergency decisions.
QUESTION 7
7) Federal law states that facilities must retain menus of food actually served for at least:
CORRECT ANSWER
30 days
RATIONALE: The key concept here is the retention of records, which is a common requirement in food safety regulations to
track food handling and serving practices. The specific time frame of 30 days is likely chosen to balance the need for record
retention with the need to avoid storing unnecessary records, allowing facilities to maintain compliance without excessive
paperwork or storage.
Trusted by thousands of students and professionals worldwide Page 3 of 76
, QUESTION 8
8) A resident with a living will and DPOA specified she wants to receive heroic measures if necessary. Six
months later the resident requires CPR, but is now incompetent and the son request CPR be withheld.
What is the right thing to do?
CORRECT ANSWER
Provide the CPR
RATIONALE: The living will and DPOA specified that the resident wants to receive heroic measures, which includes CPR, so
the advance directive takes precedence over the son's request to withhold CPR. This is because advance directives, such as
living wills and DPOAs, are meant to ensure that a person's preferences and values are respected in the event they become
incapable of making decisions for themselves.
QUESTION 9
9) A resident asks to see his chart. The doctor tells the nurse not to allow the resident access to the
chart. What do you do?
CORRECT ANSWER
Tell the doctor the law gives the resident the right to view the medical records
RATIONALE: The correct answer is based on patient autonomy and the right to self-determination, which grants residents
access to their own medical information to make informed decisions about their care. This is a fundamental principle in
healthcare, as it allows residents to take an active role in their treatment and maintain control over their medical decisions.
QUESTION 10
10) Medical records belong to:
CORRECT ANSWER
Facility
RATIONALE: Medical records are typically stored and managed within a healthcare facility, which is responsible for
maintaining their confidentiality and security. Therefore, the ownership and custody of medical records are best attributed
to the facility where they were created and stored.
Trusted by thousands of students and professionals worldwide Page 4 of 76
ADMINISTRATOR EXAM
250+ (2026 A+ Graded) Exam-Style Questions | Verified Solutions |
Complete Answer Key
100% Guarantee Pass
📋 DOCUMENT OVERVIEW 259 Qs
This "Federal Nursing Home Administrator Exam" document provides a comprehensive review of nursing
home administration concepts, specifically covering topics such as OBRA regulations, resident rights,
occupancy calculations, accounting practices, and emergency procedures. The document features 259
questions with correct answers and detailed explanations, allowing users to study, review, and
understand the underlying concepts. It serves as a valuable resource for exam preparation , enabling
users to reinforce their knowledge and prepare for the exam.
✓ Verified Answers ✓ Exam Ready ✓ Study Guide
Trusted by thousands of students and professionals worldwide
EXAM QUESTIONS
QUESTION 1
1) OBRA asserts some separate committees can be folded into the quality improvement/assurance
committee. Safety, Pharmacy and which committee below can be added into QA/QI committee?
CORRECT ANSWER
Infection Control
RATIONALE: Infection Control is a key component of quality improvement/assurance in healthcare settings, as it directly
impacts patient safety and outcomes, making it a logical fit to be merged with the QA/QI committee. OBRA's allowance for
folding separate committees into QA/QI reflects the interconnected nature of healthcare quality and safety, where Infection
Control plays a crucial role in preventing adverse events and promoting a culture of safety.
Trusted by thousands of students and professionals worldwide Page 1 of 76
, QUESTION 2
2) Nursing homes are responsible for obtaining and providing dental care for residents. Who usually pays
for dental services?
CORRECT ANSWER
The resident or a family member
RATIONALE: The correct answer is "The resident or a family member" because in the context of nursing homes, residents
are typically private payers or have private insurance that covers their dental services. This means that the financial
responsibility for dental care often falls on the individual resident or their family members, rather than the nursing home
itself.
QUESTION 3
3) A facility is not allowed to charge a resident who is Medicaid and Medicare eligible except for:
CORRECT ANSWER
Co-pays
RATIONALE: A facility is not allowed to charge a resident who is Medicaid and Medicare eligible except for co-pays because
co-pays are limited amounts of money that the resident must pay directly for specific services, and the facility must follow
the guidelines set by Medicaid and Medicare regarding allowable co-pays. This ensures that the facility does not charge
excessive fees and that the resident is not financially burdened by the costs of care.
QUESTION 4
4) You calculate the average percent of occupancy by:
CORRECT ANSWER
Dividing the total census (occupied bed days) by the total number of days, then multiply by 100
RATIONALE: This method calculates the average percent of occupancy by first determining the average number of
occupied bed days per day, which then allows for the percentage to be accurately calculated as a proportion of the total
days. By dividing the total occupied bed days by the total days, the average daily occupancy rate is obtained, and
multiplying by 100 converts it to a percentage, providing a clear representation of the hotel's capacity usage.
Trusted by thousands of students and professionals worldwide Page 2 of 76
, QUESTION 5
5) Resident's rights should be explained to the resident and or family member:
CORRECT ANSWER
Prior to admission
RATIONALE: This question focuses on the importance of explaining resident's rights prior to admission, ensuring that the
individual has a clear understanding of their rights and responsibilities from the onset of their stay, thereby establishing a
solid foundation for a positive and informed care experience. By explaining resident's rights prior to admission, facilities can
empower residents to make informed decisions, promote autonomy, and foster a sense of trust and respect between the
resident and care providers.
QUESTION 6
6) In case of an emergency, when no attending or back up physician is available, the decision as to who
will attend to the resident is to be made by the:
CORRECT ANSWER
Administrator
RATIONALE: In a medical emergency, the attending physician or backup physician is responsible for overseeing patient
care. In their absence, the "Administrator" is the most logical choice to make critical decisions, as they are the person in
charge of the hospital or facility and have the authority to make emergency decisions.
QUESTION 7
7) Federal law states that facilities must retain menus of food actually served for at least:
CORRECT ANSWER
30 days
RATIONALE: The key concept here is the retention of records, which is a common requirement in food safety regulations to
track food handling and serving practices. The specific time frame of 30 days is likely chosen to balance the need for record
retention with the need to avoid storing unnecessary records, allowing facilities to maintain compliance without excessive
paperwork or storage.
Trusted by thousands of students and professionals worldwide Page 3 of 76
, QUESTION 8
8) A resident with a living will and DPOA specified she wants to receive heroic measures if necessary. Six
months later the resident requires CPR, but is now incompetent and the son request CPR be withheld.
What is the right thing to do?
CORRECT ANSWER
Provide the CPR
RATIONALE: The living will and DPOA specified that the resident wants to receive heroic measures, which includes CPR, so
the advance directive takes precedence over the son's request to withhold CPR. This is because advance directives, such as
living wills and DPOAs, are meant to ensure that a person's preferences and values are respected in the event they become
incapable of making decisions for themselves.
QUESTION 9
9) A resident asks to see his chart. The doctor tells the nurse not to allow the resident access to the
chart. What do you do?
CORRECT ANSWER
Tell the doctor the law gives the resident the right to view the medical records
RATIONALE: The correct answer is based on patient autonomy and the right to self-determination, which grants residents
access to their own medical information to make informed decisions about their care. This is a fundamental principle in
healthcare, as it allows residents to take an active role in their treatment and maintain control over their medical decisions.
QUESTION 10
10) Medical records belong to:
CORRECT ANSWER
Facility
RATIONALE: Medical records are typically stored and managed within a healthcare facility, which is responsible for
maintaining their confidentiality and security. Therefore, the ownership and custody of medical records are best attributed
to the facility where they were created and stored.
Trusted by thousands of students and professionals worldwide Page 4 of 76
